1475 Bridgeview Ave - Tie In Card EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454- 5242 `
/ PERMIT FOR SEWER SERVICE CONNECTION _ »1'
DATE: /fir /n I NUMBER r,. p
�,,/ � i s
OWNER: " r+ (• (1- /' i 2 , 0 j Addre /77 %7 . 61 , :j �/ /ef�.lr
PLUMBER ` + t: ■ . (--� TYPE OF PIPE -[a Co •11 Tmn
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling No. of units
Location of Connections: Connection Charge ?00.00 naid 77i0/.
1?3' 'r eami1 Fibg. 4,4i
jag _
/ Permit Fee ' . r , ( ') paid
/ Street Repairs
Total
.J
NI
:: /69
Remarks:
By
Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota
By -1 4-•• 1 --",..., r 60:',/
Please notify when ready for inspection and connection and before any portion
of the work is covered.